Provider Demographics
NPI:1689487233
Name:BERRYHILL, ELVA (APRN)
Entity type:Individual
Prefix:
First Name:ELVA
Middle Name:
Last Name:BERRYHILL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 NE AVENUE G
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:TX
Mailing Address - Zip Code:79360-2814
Mailing Address - Country:US
Mailing Address - Phone:432-413-7107
Mailing Address - Fax:
Practice Address - Street 1:300 NE AVENUE G
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:TX
Practice Address - Zip Code:79360-2814
Practice Address - Country:US
Practice Address - Phone:432-413-7107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1189342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily